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CMS RVU26D · Effective 2026-10-01

21025 in Austin

Office / nonfacility

$862.94

Base rate per service

Facility setting

$623.34

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Oral and maxillofacial surgery

About 21025: Mandibular bone excision

Reports surgical removal of mandibular bone, such as devitalized bone in osteomyelitis, when the operation is an excision rather than a lesion-specific procedure.

An oral and maxillofacial surgeon or another qualified surgeon may use this service to remove a defined portion of the mandible, including devitalized bone associated with osteomyelitis. The operation may take place in a hospital or ambulatory surgical setting. The operative report should identify the mandibular site, the bone removed, and the clinical reason for excision; a diagnosis alone does not establish which procedure code describes the work.

Select 21025 for mandibular bone excision, distinguishing it from codes for a specified lesion, exostosis, or more extensive jaw operation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 21025

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU9.78 · 39%
  • Practice expense (office) RVU14.06 · 56%
  • Malpractice RVU1.31 · 5%

1.6K

Medicare services in 2024 · #2632 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

21025 compared with similar codes

Office rates for Austin, from the same CMS release.

21026

Facial bone excision

One or more facial bones

$594.87

21025 is specific to the mandible; 21026 describes excision of facial bone more generally.

21031

Exostosis removal

Mandible

$403.55

Choose 21031 when the target is a mandibular exostosis. 21025 describes excision of mandibular bone without that specific target.

21040

Mandibular lesion excision

Intraoral approach

$495.46

21040 is for a mandibular lesion procedure. Choose 21025 when the operative work is excision of bone rather than the lesion-specific service.

21045

Mandible tumor resection

Extensive malignant resection

No office rate

21045 describes an extensive jaw operation. Use 21025 for mandibular bone excision when the documented procedure does not meet the extensive-operation criteria.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 21025 is $794.66—$68.28 lower than the $862.94 rate in Austin. Both use the same code, release and participation basis.

21025 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $862.94

  2. Beaumont

    $794.66

    $68.28 lower than Austin

  3. Brazoria

    $828.79

    $34.15 lower than Austin

  4. Dallas

    $834.88

    $28.06 lower than Austin

  5. Fort Worth

    $830.75

    $32.19 lower than Austin

  6. Galveston

    $831.83

    $31.11 lower than Austin

  7. Houston

    $855.81

    $7.13 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21025 ranges from $752.60 in Arkansas to $1063.23 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 21025

    Office

    $811.84

    Facility

    $596.93

    $51.10 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 21025

    Office

    $924.66

    Facility

    $656.76

    $61.72 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21025

    Office

    $946.21

    Facility

    $679.44

    $83.27 higher than Austin for the office setting.

  • Miami

    Florida · 21025

    Office

    $926.19

    Facility

    $690.45

    $63.25 higher than Austin for the office setting.

  • Chicago

    Illinois · 21025

    Office

    $901.33

    Facility

    $673.74

    $38.39 higher than Austin for the office setting.

  • Manhattan

    New York · 21025

    Office

    $962.66

    Facility

    $699.51

    $99.72 higher than Austin for the office setting.

  • Alaska*

    Alaska · 21025

    Office

    $1014.24

    Facility

    $773.06

    $151.30 higher than Austin for the office setting.

  • Alabama

    Alabama · 21025

    Office

    $762.34

    Facility

    $564.19

    $100.60 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 21025

    Office

    $752.60

    Facility

    $558.07

    $110.34 lower than Austin for the office setting.

  • Arizona

    Arizona · 21025

    Office

    $819.17

    Facility

    $599.74

    $43.77 lower than Austin for the office setting.

  • Bakersfield

    California · 21025

    Office

    $874.21

    Facility

    $626.02

    $11.27 higher than Austin for the office setting.

  • Chico

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • El Centro

    California · 21025

    Office

    $870.59

    Facility

    $622.39

    $7.65 higher than Austin for the office setting.

  • Fresno

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Madera

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Merced

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Modesto

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Napa

    California · 21025

    Office

    $988.42

    Facility

    $689.95

    $125.48 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21025

    Office

    $918.15

    Facility

    $650.48

    $55.21 higher than Austin for the office setting.

  • Redding

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Rest Of California

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21025

    Office

    $884.56

    Facility

    $636.37

    $21.62 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21025

    Office

    $908.04

    Facility

    $644.67

    $45.10 higher than Austin for the office setting.

  • Salinas

    California · 21025

    Office

    $904.53

    Facility

    $642.06

    $41.59 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21025

    Office

    $921.84

    Facility

    $650.99

    $58.90 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21025

    Office

    $1039.94

    Facility

    $720.63

    $177.00 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21025

    Office

    $1038.45

    Facility

    $719.14

    $175.51 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21025

    Office

    $1063.23

    Facility

    $736.68

    $200.29 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21025

    Office

    $1057.15

    Facility

    $730.60

    $194.21 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21025

    Office

    $890.56

    Facility

    $632.62

    $27.62 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 21025

    Office

    $927.56

    Facility

    $652.41

    $64.62 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 21025

    Office

    $906.83

    Facility

    $642.78

    $43.89 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 21025

    Office

    $936.60

    Facility

    $658.51

    $73.66 higher than Austin for the office setting.

  • Stockton

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Vallejo

    California · 21025

    Office

    $986.28

    Facility

    $687.81

    $123.34 higher than Austin for the office setting.

  • Visalia

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Yuba City

    California · 21025

    Office

    $870.37

    Facility

    $622.17

    $7.43 higher than Austin for the office setting.

  • Colorado

    Colorado · 21025

    Office

    $864.43

    Facility

    $623.47

    $1.49 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 21025

    Office

    $891.91

    Facility

    $648.02

    $28.97 higher than Austin for the office setting.

  • Delaware

    Delaware · 21025

    Office

    $831.61

    Facility

    $607.87

    $31.33 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 21025

    Office

    $881.49

    Facility

    $652.09

    $18.55 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 21025

    Office

    $841.38

    Facility

    $624.88

    $21.56 lower than Austin for the office setting.

  • Atlanta

    Georgia · 21025

    Office

    $857.32

    Facility

    $627.24

    $5.62 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 21025

    Office

    $797.72

    Facility

    $595.71

    $65.22 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 21025

    Office

    $885.95

    Facility

    $628.47

    $23.01 higher than Austin for the office setting.

  • Iowa

    Iowa · 21025

    Office

    $773.73

    Facility

    $566.52

    $89.21 lower than Austin for the office setting.

  • Idaho

    Idaho · 21025

    Office

    $779.40

    Facility

    $571.06

    $83.54 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 21025

    Office

    $846.83

    Facility

    $638.49

    $16.11 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 21025

    Office

    $823.81

    Facility

    $617.05

    $39.13 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 21025

    Office

    $888.78

    Facility

    $656.21

    $25.84 higher than Austin for the office setting.

  • Indiana

    Indiana · 21025

    Office

    $783.26

    Facility

    $573.33

    $79.68 lower than Austin for the office setting.

  • Kansas

    Kansas · 21025

    Office

    $773.25

    Facility

    $568.53

    $89.69 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 21025

    Office

    $784.19

    Facility

    $582.86

    $78.75 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 21025

    Office

    $818.28

    Facility

    $605.18

    $44.66 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 21025

    Office

    $784.19

    Facility

    $583.77

    $78.75 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 21025

    Office

    $939.72

    Facility

    $669.33

    $76.78 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21025

    Office

    $861.27

    Facility

    $622.81

    $1.67 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21025

    Office

    $889.91

    Facility

    $646.92

    $26.97 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 21025

    Office

    $845.35

    Facility

    $616.17

    $17.59 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 21025

    Office

    $785.92

    Facility

    $577.58

    $77.02 lower than Austin for the office setting.

  • Southern Maine

    Maine · 21025

    Office

    $819.66

    Facility

    $595.24

    $43.28 lower than Austin for the office setting.

  • Detroit

    Michigan · 21025

    Office

    $853.61

    Facility

    $635.08

    $9.33 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 21025

    Office

    $804.82

    Facility

    $598.06

    $58.12 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 21025

    Office

    $822.85

    Facility

    $589.82

    $40.09 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 21025

    Office

    $810.38

    Facility

    $597.74

    $52.56 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 21025

    Office

    $817.58

    Facility

    $601.99

    $45.36 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 21025

    Office

    $774.09

    Facility

    $578.88

    $88.85 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 21025

    Office

    $763.34

    Facility

    $568.36

    $99.60 lower than Austin for the office setting.

  • Montana**

    Montana · 21025

    Office

    $839.95

    Facility

    $613.49

    $22.99 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 21025

    Office

    $792.77

    Facility

    $581.49

    $70.17 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 21025

    Office

    $814.04

    Facility

    $587.58

    $48.90 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 21025

    Office

    $776.66

    Facility

    $567.64

    $86.28 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 21025

    Office

    $853.82

    Facility

    $618.07

    $9.12 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 21025

    Office

    $938.73

    Facility

    $676.03

    $75.79 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 21025

    Office

    $900.55

    Facility

    $653.26

    $37.61 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 21025

    Office

    $809.85

    Facility

    $602.19

    $53.09 lower than Austin for the office setting.

  • Nevada**

    Nevada · 21025

    Office

    $833.20

    Facility

    $606.51

    $29.74 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21025

    Office

    $987.19

    Facility

    $717.94

    $124.25 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21025

    Office

    $908.53

    Facility

    $660.56

    $45.59 higher than Austin for the office setting.

  • Queens

    New York · 21025

    Office

    $965.75

    Facility

    $698.08

    $102.81 higher than Austin for the office setting.

  • Rest Of New York

    New York · 21025

    Office

    $803.56

    Facility

    $588.42

    $59.38 lower than Austin for the office setting.

  • Ohio

    Ohio · 21025

    Office

    $799.53

    Facility

    $592.77

    $63.41 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 21025

    Office

    $780.03

    Facility

    $577.80

    $82.91 lower than Austin for the office setting.

  • Portland

    Oregon · 21025

    Office

    $886.19

    Facility

    $634.59

    $23.25 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 21025

    Office

    $825.16

    Facility

    $599.61

    $37.78 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21025

    Office

    $873.61

    Facility

    $637.87

    $10.67 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21025

    Office

    $799.12

    Facility

    $591.23

    $63.82 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 21025

    Office

    $844.54

    Facility

    $615.59

    $18.40 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 21025

    Office

    $857.01

    Facility

    $623.08

    $5.93 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 21025

    Office

    $797.78

    Facility

    $588.53

    $65.16 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 21025

    Office

    $810.98

    Facility

    $584.52

    $51.96 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 21025

    Office

    $777.04

    Facility

    $571.19

    $85.90 lower than Austin for the office setting.

  • Utah

    Utah · 21025

    Office

    $807.39

    Facility

    $594.52

    $55.55 lower than Austin for the office setting.

  • Virginia

    Virginia · 21025

    Office

    $819.19

    Facility

    $596.58

    $43.75 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21025

    Office

    $844.54

    Facility

    $615.59

    $18.40 lower than Austin for the office setting.

  • Vermont

    Vermont · 21025

    Office

    $813.72

    Facility

    $589.53

    $49.22 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 21025

    Office

    $858.71

    Facility

    $620.25

    $4.23 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 21025

    Office

    $954.96

    Facility

    $677.10

    $92.02 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 21025

    Office

    $790.03

    Facility

    $573.08

    $72.91 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 21025

    Office

    $797.37

    Facility

    $600.58

    $65.57 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 21025

    Office

    $828.66

    Facility

    $602.20

    $34.28 lower than Austin for the office setting.

See how rates vary across the country

21025 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$752.60

$1,014.24

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,014.241
AL$762.341
AR$752.601
AZ$819.171
CA$870.37–$1,063.2329
CO$864.431
CT$891.911
DC$946.211
DE$831.611
FL$841.38–$926.193
GA$797.72–$857.322
GU$885.951
HI$885.951
IA$773.731
ID$779.401
IL$823.81–$901.334
IN$783.261
KS$773.251
KY$784.191
LA$784.19–$818.282
MA$861.27–$939.722
MD$845.35–$946.213
ME$785.92–$819.662
MI$804.82–$853.612
MN$822.851
MO$774.09–$817.583
MS$763.341
MT$839.951
NC$792.771
ND$814.041
NE$776.661
NH$853.821
NJ$900.55–$938.732
NM$809.851
NV$833.201
NY$803.56–$987.195
OH$799.531
OK$780.031
OR$825.16–$886.192
PA$799.12–$873.612
PR$844.541
RI$857.011
SC$797.781
SD$810.981
TN$777.041
TX$794.66–$862.948
UT$807.391
VA$819.19–$946.212
VI$844.541
VT$813.721
WA$858.71–$954.962
WI$790.031
WV$797.371
WY$828.661

Explore 21025 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 21025 in Austin, the physician’s office rate is $862.94 and the facility-setting rate is $623.34: a difference of $239.60.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21025 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$949.23

$862.94 × 110% = $949.23

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21025 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,843

Code
21025
Physician work
9.78
Practice expense
14.06
Malpractice
1.31

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 21025 in Austin
ComponentRVULocality factorAdjusted
Physician work9.78× 1.0029.7996
Practice expense14.06× 1.05814.8755
Malpractice1.31× 0.8861.1607
Total RVUs25.8357
Conversion factor× 33.4009

Office / nonfacility rate, Austin$862.94

Open 21025 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work9.781.002
Practice expense14.061.058
Malpractice1.310.886

(9.78 × 1.002 + 14.06 × 1.058 + 1.31 × 0.886) × $33.4009 = $862.94

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.781.002
Practice expense7.281.058
Malpractice1.310.886

(9.78 × 1.002 + 7.28 × 1.058 + 1.31 × 0.886) × $33.4009 = $623.34

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

21025 · Office / nonfacility

$862.94

Effective 2026-10-01

The base rate is $60.93 higher than on 2025-10-01, moving from $802.01 to $862.94 (7.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $802.01changed to$862.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.03 changed to 9.78
    • Practice expense RVU 13.18 changed to 14.06
    • Malpractice RVU 1.07 changed to 1.31
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $802.01

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$862.94$623.34RVU26D
2026-07-01$862.94$623.34RVU26C
2026-04-01$862.94$623.34RVU26B
2026-01-01$862.94$623.34RVU26A
2025-10-01$802.01$666.67RVU25D
2025-07-01$802.01$666.67RVU25C
2025-04-01$802.01$666.67RVU25B
2025-01-01$802.01$666.67RVU25A

21025 billing questions

How is 21025 different from removal of a mandibular lesion?

Use 21025 when the documented operation is excision of mandibular bone. If the procedure is directed at a specified lesion and a lesion-specific code describes the work, consider that code instead.

Is modifier 50 appropriate when bone is removed on both sides?

No. The CMS bilateral adjustment does not apply to 21025, and modifier 50 is inappropriate.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be paid for 21025?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What happens if another procedure is performed in the same session?

Medicare pays the highest-valued procedure in full and reduces the other procedures to 50% under the standard multiple-procedure rule.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 21025PPRRVU2026_Oct_nonQPP.csv, line 1,843 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet